Healthcare Provider Details

I. General information

NPI: 1225965882
Provider Name (Legal Business Name): GROVE CITY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 N BROAD STREET EXT
GROVE CITY PA
16127-4603
US

IV. Provider business mailing address

631 N BROAD STREET EXT
GROVE CITY PA
16127-4603
US

V. Phone/Fax

Practice location:
  • Phone: 724-458-5442
  • Fax:
Mailing address:
  • Phone: 724-458-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: BRIAN ICE
Title or Position: CHIEF REVENUE CYCLE OFFICER
Credential:
Phone: 412-925-9000